HOSE ANTI-EMBOLISM KNEE LEN XX-LRG-REG (15188)    VA PRODUCT (50.68)

Name Value
NAME HOSE ANTI-EMBOLISM KNEE LEN XX-LRG-REG
VA GENERIC NAME HOSE
DOSAGE FORM STOCKING
NATIONAL FORMULARY NAME HOSE STOCKING
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME HOSE ANTI-EMBOLISM KNEE LEN XX-LRG-REG
VA PRODUCT IDENTIFIER XZ204
TRANSMIT TO CMOP YES
VA DISPENSE UNIT PR
MASTER ENTRY FOR VUID YES
VUID 4015552
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE